Provider Demographics
NPI:1891424719
Name:ORTIZ MARTINEZ, ERIKA (LPC)
Entity type:Individual
Prefix:MISS
First Name:ERIKA
Middle Name:
Last Name:ORTIZ MARTINEZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1470
Mailing Address - Street 2:
Mailing Address - City:EAGLE PASS
Mailing Address - State:TX
Mailing Address - Zip Code:78853-1470
Mailing Address - Country:US
Mailing Address - Phone:830-773-8917
Mailing Address - Fax:830-773-1892
Practice Address - Street 1:1175 EIDSON RD
Practice Address - Street 2:
Practice Address - City:EAGLE PASS
Practice Address - State:TX
Practice Address - Zip Code:78852-5403
Practice Address - Country:US
Practice Address - Phone:830-757-6946
Practice Address - Fax:830-757-5850
Is Sole Proprietor?:No
Enumeration Date:2022-06-07
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX85550101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX85550OtherTEXAS BEHAVIORAL HEALTH EXECUTIVE COUNCIL